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Contact Information

LOUELLA PECKSON, M.D., INC.
14624 SHERMAN WAY
SUITE 401
VAN NUYS, CA91405-2241
 Phone: 818-786-1200
 Fax: 818-786-1201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LOUELLA PECKSON MD INC · (Female)

NPI # 1144516295
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2011
Last updated 06/27/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid A53093
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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